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�heEvC�voF ^.ONSTRU�TION � <br /> everett PERMIT PERMIT NO. 1O5HO <br /> CITY HALL 259�8'd5 <br /> Eveaerr.wn 9ezo� ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> 0\YNER IAAIL�DURL55 CITY 21P PH@lE <br /> Ron Smith 2223 Rucker F,.,,ror* 98z01 <br /> ARCMrtEGi OR pESiGNCR MAIL 4DDRE55 CITY ZIP PHONE <br /> GFNEB<IfANTRAGtOR MAILAODRE55 CIiY $IP PIIONE LCENSE♦ <br /> AIlCMANICALCANiRACiOF 1AAILAODRE55 GLV ZIP PHON[ IICENSE� <br /> Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 <br /> NLUM9iNGCONiRACTOR MAILADDRE55 Cilv 2iP PHONE UCENSE� <br /> CLASS Of VJORK � <br /> I7NEW ❑ADDITION ❑ALTERATION ❑REPAIR ODEMOLITION ❑FENCE ❑SIGN ❑GARAGE � <br /> VALUAiION Oi'WORK <br /> E <br /> �ESCRiBL WORK <br /> PROi'OSEO USE OF BW L�ING <br /> I HEREDY CERTIFY TfiAT I HAVE READ AND EXAMINED THIS AP� <br /> tecn�oes-r+innoNorraore�rvisNoweeicwonnnna�rouacowes� PLICATION AND KNOW THE SAME TO BE TRUE AND COHRECT. <br /> ALL PflOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or__eioc�oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE vRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANC[L THE PRO� <br /> VISIONS OF ANY OTH[R STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PEAFORMANCE OF CONSTRUCTION. <br /> JO[3 PODREbS SiGNNU'E Of CONtRnCiOR O�i FUiH0ai2[D PGCM pAIE <br /> 2223 Rucker Avenue X 5/20/82 <br /> PLUMBINQ MECH NICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATERCLOSET(TOILETI AIRWND UWiS—HP.EA <br /> BP.7HTU� REFRIGERATION UNITS—H.P.EA <br /> LAVAIORY IWASH BASINI BOIIERG—H.P.EA <br /> SHOWER GAS FIRED A C.UN175—iONMAGE EA <br /> KITCHEN SINK&MSR �ORCGD AIR SYST[IA$—B.T.U. �d EA <br /> DISH\4ASHER W.�LL HEATERS—�T.LL 1A <br /> LAUNDPYTRAY UNR HFATERS—07.U. M <br /> CLOTHES WASHLR [\'l�PORATIVE COOLENS <br /> \VATCP HEATER CLOTHES DRYLRS <br /> URINAL V[NTILATION FAN <br /> �RINKING FOUNTA�N RANGE HODD <br /> f LOLR DRAIN AIR HqNDIING UNIT— C F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FlREPLACE 8 CNIMNEY <br /> SINK�SERVICE—BAP.[iCJ �e y� <br /> SUB TOTAL SUB TOTAL S QQ <br /> PERMIT 5 PERMIT S <br /> TOTAL FEE 5 TOTAL FEE S S OO <br /> SID"e YARD SETBAGK STREI-1 :L7 t3��h H[AR VARD SEiBACK PI.AN CHECK NUM�ER PIAN CHECK FEE <br /> FEE FECEIPT N0. <br /> 115E ZONF. LOT ARH. VPCANT SITE <br /> 'JyES UNO FEES VAWATION FEE <br /> 1YPE OF CONST. OCCUPANCY GFOUP IJO.OF OW[LLING UNITS <br /> BUILDING A <br /> Sil[OF BLDG. NG.OF SiORIFS MAX.OCC.LOAD <br /> P�UMOING <br /> FIRL ZONE UAScMEWT FlRE SPRINNLCIiS <br /> REOUIRE� MECHANICAL S OO <br /> IIYES f1N0 — <br /> APPROVALS BY DATE OTIIER _� <br /> t Rt.\'IRONMENiALCHECKLIST �,�NA�T� U�C <br /> SEC.3UJ�a) <br /> 2. BUILDIIJG PLANS -- <br /> 3. FIFENYDR/.NT TOTAL S OO <br /> 4. FIfiE PROTECTION SYSTEM PEflM1T VALID�TION <br /> WH[N PROPERLY VALIDATFD(IN TMIS SPACF)THIS IS O(y�f7 PERMnIi , <br /> 5. GRADING ��2 O �V O �.'v Q '1� <br /> 6. ORAINAGC � � �� <br /> 7. ENVIRONMENTALIMPACTSTATEM[NT � • � � <br /> 0. HEALTH OISTRICT �'O'U R RECEIPt� <br /> APPLICATIOIJ ACC. �i PlANSCHGCKED�Y APPR.FOR ISSUANCE DY . � H.ANK YO U <br /> 20 �v82 <br /> :1DDRE55 FILF <br />